| NPI | 1487263489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX LOUCKS CFO 720-330-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2021-01-13 |